PROSPECTIVE ANALYSIS OF FUNCTIONAL OUTCOME OF CLAVICLE FRACTURES TREATED BY PLATE OSTEOSYNTHESIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 15
Abstract
BACKGROUND Clavicular fractures are common injuries accounting for 2.6% of all fractures. Fractures of the middle third (or midshaft) account for approximately 80% of all clavicular fractures. The traditional view that the vast majority of clavicular fractures heal with good functional outcomes following non-operative treatment is no longer valid. Recent studies have identified a higher rate of non-union and specific deficits of shoulder function and hence each requiring careful assessment and individualised treatment and when indicated these fractures should be treated by primary operative fixation. The aim of the study is to analyse the functional outcome of clavicle fractures treated by plate osteosynthesis. MATERIALS AND METHODS A total of 20 fresh patients of comminuted fracture clavicle from May 2010 to Dec 2011 were included in the study and were treated with orthogonal plating. These patients were followed at 6 weeks, 3 months, 4 months, 6 months and 12 months of followup and assessed in terms of time for union, range of motion and constant shoulder score. Study Design- Prospective study in Government Rajaji Hospital. RESULTS At final follow-up 82% of patients have constant shoulder score above 90 with an excellent grade, 82% of patients had > 90%, normal range of motion with 100% union rate on an average of 16 weeks. CONCLUSION Clavicle fractures should therefore be viewed as a spectrum of injuries with diverse functional outcomes, each requiring careful assessment and individualised treatment, and plate osteosynthesis should be preferred for the treatment of indicated middle-third clavicle fractures in active individuals.
Authors and Affiliations
Karthi M. N, Premkumar T. C, Kailash K
Keywords
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- EP ID EP414400
- DOI 10.14260/jemds/2018/412
- Views 81
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